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Use of modern medical care for pregnancy and childbirth care : does female schooling matter ?

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  • Somanathan, Aparnaa

Abstract

Controversy exists over whether the estimated effects of schooling on health care use reflect the influence of unobserved factors. Existing estimates may overstate the schooling effect because of the failure to control for unobserved variables or may be downwardly biased due to measurement error. This paper contributes to the resolution of this debate by adopting an instrumental variable approach to estimate the impact of female schooling on maternal health care use. A school construction program in Indonesia in the 1970s is used to construct an instrumental variable for education. The choice between use and non-use of maternal health services is estimated as a function of schooling and other variables. Data from the Indonesia Family Life Survey are used for this paper. Standard regression models estimated in the paper indicate that each additional year of schooling does indeed have a significant, positive effect on maternal health care use. Instrumental variable estimates of the schooling effect are larger. The results suggest that schooling has a positive impact on maternal health care use even after eliminating the effect of unobserved variables and measurement error. This paper moves beyond previous work on the impact of education on health care use by adopting an IV approach to address the problem of endogeneity and measurement error. IV methods have been used widely in the labour economics literature to examine the impact of schooling on wages and other labour market outcomes but rarely to estimate the effect of schooling on health outcomes.

Suggested Citation

  • Somanathan, Aparnaa, 2008. "Use of modern medical care for pregnancy and childbirth care : does female schooling matter ?," Policy Research Working Paper Series 4625, The World Bank.
    • Handle: RePEc:wbk:wbrwps:4625
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    1. Rosenzweig, Mark R. & Wolpin, Kenneth I., 1988. "Migration selectivity and the effects of public programs," Journal of Public Economics, Elsevier, vol. 37(3), pages 265-289, December.
    2. Esther Duflo, 2001. "Schooling and Labor Market Consequences of School Construction in Indonesia: Evidence from an Unusual Policy Experiment," American Economic Review, American Economic Association, vol. 91(4), pages 795-813, September.
    3. Cleland, John G. & van Ginneken, Jerome K., 1988. "Maternal education and child survival in developing countries: The search for pathways of influence," Social Science & Medicine, Elsevier, vol. 27(12), pages 1357-1368, January.
    4. Hossain, Shaikh I., 1989. "Effect of public programs on family size, child education and health," Journal of Development Economics, Elsevier, vol. 30(1), pages 145-158, January.
    5. Panis, Constantijn W. A. & Lillard, Lee A., 1994. "Health inputs and child mortality: Malaysia," Journal of Health Economics, Elsevier, vol. 13(4), pages 455-489.
    6. Anastasia Gage & A. Sommerfelt & Andrea Piani, 1997. "Household structure and childhood immunization in Niger and Nigeria," Demography, Springer;Population Association of America (PAA), vol. 34(2), pages 295-309, May.
    7. Lucia Breierova & Esther Duflo, 2003. "The Impact of Education on Fertility and Child Mortality: Do Fathers Really Matter Less Than Mothers?," OECD Development Centre Working Papers 217, OECD Publishing.
    8. Guilkey, David K. & Riphahn, Regina T., 1998. "The determinants of child mortality in the Philippines: estimation of a structural model," Journal of Development Economics, Elsevier, vol. 56(2), pages 281-305, August.
    9. Barrera, Albino, 1990. "The role of maternal schooling and its interaction with public health programs in child health production," Journal of Development Economics, Elsevier, vol. 32(1), pages 69-91, January.
    10. Mwabu, Germano M., 1986. "Health care decisions at the household level: Results of a rural health survey in Kenya," Social Science & Medicine, Elsevier, vol. 22(3), pages 315-319, January.
    11. Lavy, Victor & Strauss, John & Thomas, Duncan & de Vreyer, Philippe, 1996. "Quality of health care, survival and health outcomes in Ghana," Journal of Health Economics, Elsevier, vol. 15(3), pages 333-357, June.
    12. Akin, John S & Griffin, Charles C & Guilkey, David K & Popkin, Barry M, 1986. "The Demand for Primary Health Care Services in the Bicol Region of the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 34(4), pages 755-782, July.
    13. Strauss, John, 1990. "Households, Communities, and Preschool Children's Nutrition Outcomes: Evidence from Rural Cote d'Ivoire," Economic Development and Cultural Change, University of Chicago Press, vol. 38(2), pages 231-261, January.
    14. Gertler, Paul & Rahman, Omar & Feifer, Chris & Ashley, Deanna, 1993. "Determinants of pregnancy outcomes and targeting of maternal health services in Jamaica," Social Science & Medicine, Elsevier, vol. 37(2), pages 199-211, July.
    15. Schwartz, J Brad & Akin, John S & Popkin, Barry M, 1988. "Price and Income Elasticities of Demand for Modern Health Care: The Case of Infant Delivery in the Philippines," The World Bank Economic Review, World Bank, vol. 2(1), pages 49-76, January.
    16. Wolfe, Barbara L & Behrman, Jere R, 1984. "Determinants of Women's Health Status and Health-Care Utilization in a Developing Country: A Latent Variable Approach," The Review of Economics and Statistics, MIT Press, vol. 66(4), pages 696-703, November.
    17. Wong, Emelita L. & Popkin, Barry M. & Guilkey, David K. & Akin, John S., 1987. "Accessibility, quality of care and prenatal care use in the Philippines," Social Science & Medicine, Elsevier, vol. 24(11), pages 927-944, January.
    18. Wolfe, Barbara L. & Behrman, Jere R., 1982. "Determinants of child mortality, health, and nutrition in a developing country," Journal of Development Economics, Elsevier, vol. 11(2), pages 163-193, October.
    19. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
    20. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    21. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    22. Behrman, Jere R. & Wolfe, Barbara L., 1987. "How does mother's schooling affect family health, nutrition, medical care usage, and household sanitation?," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 185-204.
    23. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    24. Sonalde Desai & Soumya Alva, 1998. "Maternal education and child health: Is there a strong causal relationship?," Demography, Springer;Population Association of America (PAA), vol. 35(1), pages 71-81, February.
    25. Strauss, John & Thomas, Duncan, 1995. "Human resources: Empirical modeling of household and family decisions," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 34, pages 1883-2023, Elsevier.
    26. Magnus Lindelow, 2003. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Economics Series Working Papers WPS/2004-11, University of Oxford, Department of Economics.
    27. Bicego, George T. & Ties Boerma, J., 1993. "Maternal education and child survival: A comparative study of survey data from 17 countries," Social Science & Medicine, Elsevier, vol. 36(9), pages 1207-1227, May.
    28. Wolfe, Barbara L. & Behrman, Jere R., 1987. "Women's schooling and children's health : Are the effects robust with adult sibling control for the women's childhood background?," Journal of Health Economics, Elsevier, vol. 6(3), pages 239-254, September.
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    Cited by:

    1. Monica Martinez-Bravo, 2017. "The Local Political Economy Effects of School Construction in Indonesia," American Economic Journal: Applied Economics, American Economic Association, vol. 9(2), pages 256-289, April.
    2. Tohari, Achmad & Parsons, Christopher & Rammohan, Anu, 2021. "Literacy and Information," IZA Discussion Papers 14358, Institute of Labor Economics (IZA).
    3. Eshtiyagh, Javad, 2022. "The secularizing effect of education in Indonesia," International Journal of Educational Development, Elsevier, vol. 94(C).

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    Keywords

    Health Monitoring&Evaluation; Population Policies; Health Systems Development&Reform; Gender and Health; Primary Education;
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